ATI RN MENTAL HEALTH WITH NGN EXAM LATEST
UPDATE 100% CORRECT
A nurse is performing a cognitive assessment to distinguish delirium from dementia for
a client whose family members report that the client has periods of confusion. Which of
the following assessment findings would confirm the nurse's suspicion of delirium?
ANSWER Easily distracted
The nurse is caring for a client who delivered a stillborn infant. Which of the following
statements should the nurse provide? ANSWER "I'll stay with you just in case you want
to talk."
The emergency department nurse is caring for four clients. The nurse should identify
that which of the following clients is able to provide informed consent? - ANSWER A The
35-year-old client with major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who
have depressive disorders. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching? - ANSWER "I will update the plan of
care as a client's manifestations of depression change."
A nurse working on a medical-surgical unit is performing an assessment on a client who
experienced injuries 12 hr earlier due to a motorvehicle crash. The client's blood alcohol
level upon admission was 325 mg/dL. For which of the following does the nurse need to
be alerted that the client is exhibiting alcohol withdrawal? ANSWER Blood pressure
154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward
others on the unit. Although the client does not want to leave the unit, the nurse
requests the provider to transfer the client to a unit that is equipped to manage violent
behavior. Which of the following ethical principles should the nurse apply in this
situation? - ANSWER Nonmaleficence
, A nurse is discussing a 12-step program with a client diagnosed with alcohol use
disorder who is currently in an acute care facility undergoing detoxification. Which of
the following information should the nurse include in the teaching? - ANSWER The client
should obtain a sponsor before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion for
threatening to harm others on the unit. Which of the following interventions should the
nurse include in the plan? - ANSWER Reorder the client's prescription every 4 hr.
A nurse is admitting a client and notices that the client appears withdrawn and fearful.
To establish a trust-based nurse-client relationship, the nurse should do which of the
following first? ANSWER Tell the client this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective
disorder. The nurse should identify that which of the following treatment options can
offer interdisciplinary services for the client at home? - ANSR Assertive community
treatment
A nurse working on a mental health unit is caring for a group of clients. Which of the
following actions by the nurse is an example of the ethical principle of justice? -
ANSWER Spending adequate time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of
bulimia nervosa. Which of the following statements made by the guardians indicates an
understanding of their child's illness? - ANSWER "It is important for our child to have
regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been taking
amitriptyline for 1 week. Which of the following outcomes should the nurse expect? -
ANSWER Increased risk of suicide as mood and energy level improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of
the following levels of anxiety should the nurse plan to teach the client relaxation
techniques? ANSWER Mild
UPDATE 100% CORRECT
A nurse is performing a cognitive assessment to distinguish delirium from dementia for
a client whose family members report that the client has periods of confusion. Which of
the following assessment findings would confirm the nurse's suspicion of delirium?
ANSWER Easily distracted
The nurse is caring for a client who delivered a stillborn infant. Which of the following
statements should the nurse provide? ANSWER "I'll stay with you just in case you want
to talk."
The emergency department nurse is caring for four clients. The nurse should identify
that which of the following clients is able to provide informed consent? - ANSWER A The
35-year-old client with major depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who
have depressive disorders. Which of the following statements by the newly licensed
nurse indicates an understanding of the teaching? - ANSWER "I will update the plan of
care as a client's manifestations of depression change."
A nurse working on a medical-surgical unit is performing an assessment on a client who
experienced injuries 12 hr earlier due to a motorvehicle crash. The client's blood alcohol
level upon admission was 325 mg/dL. For which of the following does the nurse need to
be alerted that the client is exhibiting alcohol withdrawal? ANSWER Blood pressure
154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward
others on the unit. Although the client does not want to leave the unit, the nurse
requests the provider to transfer the client to a unit that is equipped to manage violent
behavior. Which of the following ethical principles should the nurse apply in this
situation? - ANSWER Nonmaleficence
, A nurse is discussing a 12-step program with a client diagnosed with alcohol use
disorder who is currently in an acute care facility undergoing detoxification. Which of
the following information should the nurse include in the teaching? - ANSWER The client
should obtain a sponsor before discharge for an increased chance of recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion for
threatening to harm others on the unit. Which of the following interventions should the
nurse include in the plan? - ANSWER Reorder the client's prescription every 4 hr.
A nurse is admitting a client and notices that the client appears withdrawn and fearful.
To establish a trust-based nurse-client relationship, the nurse should do which of the
following first? ANSWER Tell the client this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective
disorder. The nurse should identify that which of the following treatment options can
offer interdisciplinary services for the client at home? - ANSR Assertive community
treatment
A nurse working on a mental health unit is caring for a group of clients. Which of the
following actions by the nurse is an example of the ethical principle of justice? -
ANSWER Spending adequate time with a client who is verbally abusive.
A nurse is teaching the guardians of a client about their adolescent child's diagnosis of
bulimia nervosa. Which of the following statements made by the guardians indicates an
understanding of their child's illness? - ANSWER "It is important for our child to have
regular dental checkups."
A nurse is assessing a client who has major depressive disorder and has been taking
amitriptyline for 1 week. Which of the following outcomes should the nurse expect? -
ANSWER Increased risk of suicide as mood and energy level improve
A nurse is planning care for a client who has generalized anxiety disorder. At which of
the following levels of anxiety should the nurse plan to teach the client relaxation
techniques? ANSWER Mild
